| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Wentworth-Douglass Hospital | 789 Central Avenue, Dover | J0696 | $8 [source] | 4 years ago |
| New London Hospital | 273 County Rd, New London | J0696 | $15 [source] | 4 years ago |
| Frisbie Memorial Hospital | 11 Whitehall Road, Rochester | J0696 | $138 [source] | 4 years ago |
| Parkland Medical Center | 1 Parkland Dr, Derry | J0696 | $277 [source] | 4 years ago |
| Portsmouth Regional Hospital | 333 Borthwick Ave, Portsmouth | J0696 | $306 [source] | 4 years ago |